ABSTRACT
We report a 25 years old woman with a four years history of end stage renal disease on hemodialysis. During the last two years of follow up, multiple tender nodules appeared in the left clavicle and ribs. These were diagnosed as brown tumors, secondary to osteitis fibrosa cystica, in the context of a secondary hyperparathyroidism. A subtotal parathyroidectomy was performed and a homologous parathyroid implant was done in the right forearm. The pathological study of the surgical pieces confirmed the presence of the brown tumors and parathyroid hyperplasia. Nine months after surgery, parathormone levels and brown tumor calcifications decreased significantly and bone mineral density increased by 20 per cent.
Subject(s)
Humans , Female , Adult , Neoplasms, Multiple Primary/complications , Chronic Kidney Disease-Mineral and Bone Disorder/complications , Parathyroid Glands/pathology , Hyperparathyroidism, Secondary/complications , Hyperparathyroidism, Secondary/diagnosis , Hyperparathyroidism, Secondary/surgery , Hyperplasia/complications , Hyperplasia/diagnosis , Neoplasms, Multiple Primary/diagnosis , Chronic Kidney Disease-Mineral and Bone Disorder/diagnosis , Osteitis Fibrosa Cystica/complications , Osteitis Fibrosa Cystica/diagnosisABSTRACT
In 22 patient in control for sterility and in 6 healthy women the Radionuclide Hysterosalpingography was used and its results were compared to classic Hysterosalpingography and laparoscopy. This new method allows the diagnosis of functional obstructions, reanastomosis and evaluation of the tubal sterilization.
